Tracy Staff
Counselor, Mental Health in Knoxville, TN. Individual provider (NPI-1).
NPI number1386830552
StatusActive
Last updated in NPPESSep 20, 2007
Details
- NPI
- 1386830552
- Entity type
- Individual (NPI-1)
- Name
- Tracy Staff
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 20, 2007
- Last updated
- Sep 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
201 W Springdale AveKnoxville, TN 37917-5158
Phone 865-637-9711 · Fax 865-637-4362
Mailing address
201 W Springdale AveKnoxville, TN 37917-5158
Phone 865-637-9711 · Fax 865-637-4362
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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